Abstract
<h3>Background</h3> Currently, PD is managed either in general neurology or specialist clinics. The NICE guideline on PD is the standard of care, summarized in the Parkinson9s UK audit tool (PUKAT). <h3>Objective</h3> Comparing the care of PD patients between specialist-led and general neurology clinics in our trust. <h3>Methods</h3> Using the PUKAT, we audited documentation of the following, over a one-year period in patients under (‘Specialist’ group, n=20) and not under the care of a specialist movement disorder neurologist (‘General’ group, n=20): frequency of review; medication side effects including hypersomnolence and its effects on driving, and impulse control disorders (ICDs); reviewing motor and non-motor symptoms, and need for multi-disciplinary care. <h3>Results</h3> Review rate within last year was: Specialist 100% vs. General 90%. Rates of documentation of issues were: hypersomnolence: 84% vs.45%; advised against driving if hypersomnolent: 52% vs 22%; ICDs in patients on dopamine agonists: 100% vs. 50%; non-motor (9 vs. 3 points, max. 12) and motor symptoms (11 vs. 3 points, max. 12); need for MDT input (9 vs 3 points, max. 10) <h3>Conclusions</h3> Compliance with NICE guidelines on PD management in better in specialist-led clinics than in general neurology clinics which has implications for resourcing the care of PD patients.
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